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Invited Critique
May 2010

Patient Safety Is Evolving: Comment on “A Novel Method for Reproducibly Measuring the Effects of Interventions to Improve Emotional Climate, Indices of Team Skills and Communication, and Threat to Patient Outcome in a High-Volume Thoracic Surgery Center”

Author Affiliations

Author Affiliation: Central Plains Cardiothoracic Surgery, Wichita, Kansas.

Arch Surg. 2010;145(5):495. doi:10.1001/archsurg.2010.59

Patient safety is evolving—from a social movement rich in theory but short on data to a new science grounded in objective methods and evidence. This study by Nurok et al is a step in this evolution. The aim was to create a reproducible method for measuring emotional climate, communication and team skills, and threats to patient outcome. The study is based on the hypothesis that improved team skills, communication, and emotional climate would correlate with fewer threats to patient outcomes.

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